MARY BARR NP
NPI 1003859596
Nurse Practitioner in Grand Rapids, MI

Q: What is Mary Barr's NPI number?

The NPI number for Mary Barr is 1003859596. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Mary Barr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Barr was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2006PECOS Enrolled

4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 391-3759 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mary Barr Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BARR NP (NPI 1003859596) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704211628) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003859596

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY BARRCredential: NP

Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-3759

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateAugust 15, 2017

✔ NPI 1003859596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704211628

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4100 LAKE DR SE STE 200, Grand Rapids, MI 49546

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Other Identifiers 3

Medicare PIN0M74460327MI

Medicare UPINQ64556

Medicare ID-Type Unspecified0M71280020MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Barr Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Barr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners

Same address

Radiology

4100 LAKE DR SE, SUITE 102
Grand Rapids, MI 49546

Reassigned Medicare billing, Michigan enrollment
2,446 clinicians in this Medicare group

NPI 1528374683 (616) 974-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers18 claims18 services$31.88 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers12 claims12 services$74.84 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers11 claims32 services$32.75 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims68 services$13.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$49.26 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers17 claims17 services$17.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LYNN ZOMERLEI NP

Nurse Practitioner (Adult Health)